Deficiency Index

F726 citations in Michigan

Competent nursing staff · Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F726 in Michigan. Pick another state for the same tag.

Against expectation — 2025

Michigan cites F726 less often than its own record predicts

Versus expected share0.66×

0.66 times the national share — cited less often here than elsewhere.

Share of Michigan citations0.40%

Of every deficiency written in Michigan in 2025, this is the portion that was F726.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Michigan surveyors wrote

F726 findings written in Michigan, one from each severity band recorded here, most serious first.

Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.

L · Immediate jeopardy, widespreadJuly 26, 2022

Based on interview and record review, the facility failed to ensure staff providing direct patient care had an active unrestricted nursing license and able to practice in the State of Michigan. This deficient practice resulted in an immediate jeopardy beginning on 5/11/22 when Unlicensed Staff B, acting with the authority of a licensed nurse, provided nursing care to residents and subsequently dispensed controlled substances in error for 4 Residents (#21, #30, 49, and #5). Additionally, the facility failed to ensure licensed nursing staff were competent and trained to perform their duties (medication administration) resulting in significant medication errors for 6 Residents (#21, #20, #25, #21, #43, and #36) and the potential for serious harm, injury, and/or death. …

Optalis Health & Rehabilitation of Muskegon

G · Actual harm, isolatedJanuary 23, 2026

This citation pertains to intake number 2715345.Based on observation, interview and record review, the facility failed to ensure Certified Nursing Assistants were trained on repositioning techniques and implementing appropriate care when providing resident showers, resulting in one resident (R400) rolling off of the shower bed to the floor sustaining injuries. Findings include:On 01/22/2026 at 09:12 AM, R400 was observed in bed, on their back. R400's right knee was bent upwards and lying against the mattress. R400 had a right forehead/eyebrow scar from a laceration. R400 was queried about the laceration on their face. R400's speech was somewhat slurred, however, R400 was able to answer simple questions with incomplete, slow responses. …

The Orchards at Northwest

F · No harm, potential for more than minimal, widespreadJuly 29, 2026

All times are in Eastern Daylight Time (EDT) unless otherwise notedBased on interview and record review, the facility failed to ensure five Certified Nurse Aides (CNA) [ F G H I and J] of five CNA's reviewed for competencies had the required yearly competency trainings, including demonstration in skills and techniques necessary to care for residents.Findings include:A review of facility staff personnel records revealed CNA F was hired on 3/13/22. CNA Fs personnel record did not demonstrate yearly competency training.A review of facility staff personnel records revealed CNA G was hired on 11/21/24. CNA Gs personnel records did not demonstrate yearly competency training.A review of facility staff personnel records revealed CNA H was hired on 6/30/23. …

Roubal Care and Rehabilitation Center

The short window

Recent years

YearShare of Michigan citationsvs expected
20230.51%0.83×
20240.45%0.68×
20250.40%0.66×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Michigan surveyors cite →

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